A nurse is caring for a client who requires protective isolation following a hematopoietic stem cell transplant. Which of the following interventions should the nurse implement to protect the client from infection?
Wear an N95 respirator when providing direct client care.
Make sure the client's room has positive-pressure airflow.
Make sure dietary plates and utensils are disposable.
Monitor the client's temperature once every 6 hr.
The Correct Answer is B
A) While wearing an N95 respirator may be necessary for certain infections, it is not a routine precaution for clients in protective isolation.
B) Ensuring the client's room has positive-pressure airflow helps prevent the entry of airborne pathogens into the room, reducing the risk of infection for the immunocompromised client.
C) Using disposable plates and utensils helps reduce the risk of cross-contamination and infection transmission but is not directly related to airborne infection control.
D) Monitoring the client's temperature is important for assessing for signs of infection, but it does not directly prevent infection transmission in the same way as positive-pressure airflow.
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Related Questions
Correct Answer is B
Explanation
A) Limiting time for visitors is necessary in this case. However, the time should be limited to 1 hour in 24 hours and not 2 hours.
B) Instructing visitors to remain 6 feet from the client is crucial for their safety to minimize radiation exposure. Brachytherapy involves the use of a radioactive source placed close to or inside the tumor, and while the patient is emitting radiation, safety precautions must be taken to protect others from exposure. Safety measures such as maintaining a safe distance help ensure that the radiation exposure to others is As Low As Reasonably Achievable (ALARA), a principle that aims to minimize exposure while achieving the necessary therapeutic effect.
C) Discarding the radioactive device in the client's trash can is incorrect as it poses a risk of exposure to others.
D) Keeping soiled bed linens in the client's room is incorrect as they may be contaminated with radiation and should be handled according to radiation safety protocols.
Correct Answer is C
Explanation
A. Syphilis is a bacterial infection, so antiviral medication is not appropriate.
Treatment typically involves antibiotics, such as penicillin.
B. Cryotherapy is not a standard treatment for primary syphilis. Antibiotics are the primary treatment.
C. This is in line with the treatment guidelines for syphilis, which involve antibiotic therapy and follow-up testing to ensure the infection is fully resolved. The tests are done at 3, 6, and 12 months after completion of treatment.
D. Monitoring after medication doses may be necessary for certain medications but is not specifically indicated for primary syphilis.
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